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Global Health: Science and Practice

Dedicated to what works in global health programs

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More articles from ORIGINAL ARTICLES

  • Open Access
    As good as physicians: patient perceptions of physicians and non-physician clinicians in rural primary health centers in India
    Krishna D Rao, Elizabeth Stierman, Aarushi Bhatnagar, Garima Gupta and Abdul Gaffar
    Global Health: Science and Practice November 2013, 1(3):397-406; https://doi.org/10.9745/GHSP-D-13-00085

    Non-physician clinicians (NPCs), including both specially trained medical assistants and physicians trained in India systems of medicine, perform similarly to physicians in terms of patient satisfaction, trust, and perceived quality, thus supporting the use and scale up of NPCs in primary care.

  • Open Access
    Obesity as a public health problem among adult women in rural Tanzania
    Gudrun B Keding, John M Msuya, Brigitte L Maass and Michael B Krawinkel
    Global Health: Science and Practice November 2013, 1(3):359-371; https://doi.org/10.9745/GHSP-D-13-00082

    Even in rural areas of Tanzania, an early stage of the nutrition transition is underway: 3 times as many women were overweight or obese than were undernourished. Overweight and obese women mainly follow a diet characterized by high consumption of bread and cakes (usually fried or baked in oil), sugar, and black tea.

  • Open Access
    Building on safety, feasibility, and acceptability: the impact and cost of community health worker provision of injectable contraception
    Dawn Chin-Quee, John Bratt, Morrisa Malkin, Mavis Mwale Nduna, Conrad Otterness, Lydia Jumbe and Reuben Kamoto Mbewe
    Global Health: Science and Practice November 2013, 1(3):316-327; https://doi.org/10.9745/GHSP-D-13-00025

    This project in Zambia contributes to our understanding of the impact of community-based provision of injectables on method choice and uptake and of the costs of adding DMPA to an established community-based family planning program. The project also illustrates the importance of involving stakeholders from the outset, analyzing costs relevant to scale up, and engaging in policy change dialogue not at the end, but rather throughout project implementation.

  • Open Access
    Food commodity pipeline management in transitional settings: challenges and lessons learned from the first USAID food development program in South Sudan
    Hannah Tappis, Shannon Doocy and Stephen Amoako
    Global Health: Science and Practice August 2013, 1(2):193-202; https://doi.org/10.9745/GHSP-D-13-00018

    Efficient and reliable commodity transport is critical to effective food assistance in development settings as well as in emergency situations. Increasing the flexibility of U.S. government Title II food assistance program procurement regulations and more comprehensive contingency planning could improve the effectiveness of these programs in non-emergency settings with high food insecurity and political volatility.

  • Open Access
    Client-centered counseling improves client satisfaction with family planning visits: evidence from Irbid, Jordan
    Sarah Kamhawi, Carol Underwood, Huda Murad and Bushra Jabre
    Global Health: Science and Practice August 2013, 1(2):180-192; https://doi.org/10.9745/GHSP-D-12-00051

    In Irbid, Jordan, a combination of community outreach, using home visits, plays, women's groups, and religious leaders, and improved client-provider counseling based on the “Consult and Choose” approach increased family planning demand and client satisfaction. Service statistic trends suggest increased contraceptive use.

  • Open Access
    High and equitable mass vitamin A supplementation coverage in Sierra Leone: a post-event coverage survey
    Mary H Hodges, Fatmata F Sesay, Habib I Kamara, Mohamed Turay, Aminata S Koroma, Jessica L Blankenship and Heather I Katcher
    Global Health: Science and Practice August 2013, 1(2):172-179; https://doi.org/10.9745/GHSP-D-12-00005

    In Sierra Leone, an intensive mass vitamin A supplementation (VAS) campaign to reduce under-5 mortality reached over 90% of children ages 6–59 months, eliminating coverage disparities among districts and between age groups. Delivering VAS with other essential maternal and child health interventions was key to the success.

  • Open Access
    Improving performance of Zambia Defence Force antiretroviral therapy providers: evaluation of a standards-based approach
    Young Mi Kim, Joseph Banda, Webby Kanjipite, Supriya Sarkar, Eva Bazant, Cyndi Hiner, Maya Tholandi, Stephanie Reinhardt, Panganani Dalisani Njobvu, Adrienne Kols and Bruno Benavides
    Global Health: Science and Practice August 2013, 1(2):213-227; https://doi.org/10.9745/GHSP-D-13-00053

    A detailed standards-based performance approach modestly improved providers' performance and facility readiness to offer antiretroviral therapy. The approach included mutually reinforcing activities: (1) training, (2) supportive supervision, (3) assessments of service quality, and (4) facility-based action plans.

  • Open Access
    Use of modern contraception increases when more methods become available: analysis of evidence from 1982–2009
    John Ross and John Stover
    Global Health: Science and Practice August 2013, 1(2):203-212; https://doi.org/10.9745/GHSP-D-13-00010

    International data over 27 years show that as each additional contraceptive method became available to most of the population, overall modern contraceptive use rose. But in 2009 only 3.5 methods, on average, were available to at least half the population in surveyed countries. Family planning programs should strive to provide widespread access to a range of methods.

  • Open Access
    Forest cover associated with improved child health and nutrition: evidence from the Malawi Demographic and Health Survey and satellite data
    Kiersten B Johnson, Anila Jacob and Molly E Brown
    Global Health: Science and Practice August 2013, 1(2):237-248; https://doi.org/10.9745/GHSP-D-13-00055

    In Malawi, net forest cover loss over time is associated with reduced dietary diversity and consumption of vitamin A-rich foods among children. Greater forest cover is associated with reduced risk of diarrheal disease. These preliminary findings suggest that protection of natural ecosystems could play an important role in improving health outcomes.

  • Open Access
    Islam and family planning: changing perceptions of health care providers and medical faculty in Pakistan
    Ali Mohammad Mir and Gul Rashida Shaikh
    Global Health: Science and Practice August 2013, 1(2):228-236; https://doi.org/10.9745/GHSP-D-13-00019

    Training health care providers and medical college faculty about the supportive nature of Islam toward family planning principles addressed their misconceptions and enhanced their level of comfort in providing family planning services and teaching the subject.

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US AIDJohns Hopkins Center for Communication ProgramsUniversity of Alberta

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